Individual
JOSE LUIS PEREZ LARA
Active
Individual
JOSE LUIS PEREZ LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101274652
VA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
0101274652
VA
207RP1001X
Pulmonary Disease Physician
0101274652
VA
207RP1001X
Pulmonary Disease Physician
036.165327
IL
Other
Enumeration date
08/08/2016
Last updated
04/13/2025
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